First pass results of mechanical thrombectomy with two-drop zone NeVa™ device

被引：6

作者：

Bajrami, Arsida ^{[1
]}

Ertugrul, Ozgur ^{[2
]}

Senadim, Songul ^{[1
]}

Erdem, Eren ^{[2
]}

Baltacioglu, Feyyaz ^{[3
]}

Geyik, Serdar ^{[2
]}

机构：

[1] Istanbul Aydin Univ, IAU Stroke Ctr, Dept Neurol, Istanbul, Turkey

[2] Istanbul Aydin Univ, IAU Stroke Ctr, Dept Radiol, Istanbul, Turkey

[3] VKV Amer Hosp, Istanbul, Turkey

来源：

INTERVENTIONAL NEURORADIOLOGY | 2022年

关键词：

Stroke; mechanical thrombectomy; first pass effect; STENT-RETRIEVER THROMBECTOMY; LARGE VESSEL OCCLUSION; ACUTE ISCHEMIC-STROKE; ASPIRATION;

D O I：

10.1177/15910199221135309

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Occlusive thrombi in acute ischemic stroke can be in various types which limits the success of the thrombectomy. The NeVa (TM) (Vesalio, Nashville, Tennessee) thrombectomy device was originally designed for all types of clot. Our aim was to evaluate the efficacy and safety of the NeVa (TM) device for mechanical thrombectomy. Methods: Retrospective review of prospectively collected mechanical thrombectomy database revealed 145 patients who had fullfilled the inclusion criteria. The data collected includes clinical patient characteristics, procedural measures, timestamp at each stage, and patient outcome. IV thrombolytics application, pre and post-intervention imaging findings, device related adverse event and any type of intracranial hemorrhage were recorded. Results: There was female pre-dominance (54.5%). Median presenting national institutes of health stroke scale (NIHSS) was 16 (IQR, 3-32). 88 MCA-m1 (60,6%), 43 ICA-tip (29,6%), 11 MCA-m2 (7,5%), 2 ACA (1,4%) and 1 basilar (0,7%) occlusions were underwent for mechanical thrombectomy. Median procedure time was 25 min (IQR, 7-136). First-pass reperfusion scores were mTICI 0-2a 22.7%, mTICI 2b 23.4%, mTICI 2c 17.9% and mTICI 3 35.9%. Mean number of pass was 1,84 +/- 1,14. Final mTICI 2b-3 score was 97.9% and TICI2c-3 score was 87.6%. No device related adverse event occurred. The mean 24-h NIHSS score was 6 (IQR 0-33). Conclusion: In conclusion, the NeVa thrombectomy device offers a high rate of first-pass success along with favorable safety profile. Larger series and multi-center studies are needed for further investigation.

引用

页码：458 / 462

页数：5

共 18 条

[1] Favorable first-pass recanalization rates with NeVa™ thrombectomy device in acute stroke patients: Initial clinical experience [J].

Akpinar, Cetin K. ;

Ozdemir, Atilla O. ;

Gurkas, Erdem ;

Bilgic, Adnan B. ;

Aykac, Ozlem ;

Inanc, Yusuf ;

Giray, Semih .

INTERVENTIONAL NEURORADIOLOGY, 2021, 27 (01) :107-113

[2] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[3] Trevo 2000: Results of a Large Real-World Registry for Stent Retriever for Acute Ischemic Stroke [J].

Binning, Mandy J. ;

Bartolini, Bruno ;

Baxter, Blaise ;

Budzik, Ronald ;

English, Joey ;

Gupta, Rishi ;

Hedayat, Hirad ;

Krajina, Antonin ;

Liebeskind, David ;

Nogueira, Raul G. ;

Shields, Ryan ;

Veznedaroglu, Erol .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2018, 7 (24)

[4] Mechanical Characterization of Thrombi Retrieved With Endovascular Thrombectomy in Patients With Acute Ischemic Stroke [J].

Boodt, Nikki ;

van Schauburg, Philip R. W. Snouckaert ;

Hund, Hajo M. ;

Fereidoonnezhad, Behrooz ;

McGarry, J. Patrick ;

Akyildiz, Ali C. ;

van Es, Adriaan C. G. M. ;

De Meyer, Simon F. ;

Dippel, Diederik W. J. ;

Lingsma, Hester F. ;

van Beusekom, Heleen M. M. ;

van der Lugt, Aad ;

Gijsen, Frank J. H. .

STROKE, 2021, 52 (08) :2510-2517

[5] Mechanical Thrombectomy with the Novel NeVa M1 Stent Retriever: Do the Drop Zones Represent a Risk or a Benefit? [J].

Borggrefe, Jan ;

Goertz, Lukas ;

Abdullayev, Nuran ;

Hokamp, Nils Grosse ;

Kowoll, Christina Maria ;

Onur, Ozgur ;

Kabbasch, Christoph ;

Schlamann, Marc .

WORLD NEUROSURGERY, 2021, 148 :E121-E129

[6] Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection [J].

Campbell, B. C. V. ;

Mitchell, P. J. ;

Kleinig, T. J. ;

Dewey, H. M. ;

Churilov, L. ;

Yassi, N. ;

Yan, B. ;

Dowling, R. J. ;

Parsons, M. W. ;

Oxley, T. J. ;

Wu, T. Y. ;

Brooks, M. ;

Simpson, M. A. ;

Miteff, F. ;

Levi, C. R. ;

Krause, M. ;

Harrington, T. J. ;

Faulder, K. C. ;

Steinfort, B. S. ;

Priglinger, M. ;

Ang, T. ;

Scroop, R. ;

Barber, P. A. ;

McGuinness, B. ;

Wijeratne, T. ;

Phan, T. G. ;

Chong, W. ;

Chandra, R. V. ;

Bladin, C. F. ;

Badve, M. ;

Rice, H. ;

de Villiers, L. ;

Ma, H. ;

Desmond, P. M. ;

Donnan, G. A. ;

Davis, S. M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1009-1018

[7] Per-pass analysis of acute ischemic stroke clots: impact of stroke etiology on extracted clot area and histological composition [J].

Fitzgerald, Sean ;

Rossi, Rosanna ;

Mereuta, Oana Madalina ;

Jabrah, Duaa ;

Okolo, Adaobi ;

Douglas, Andrew ;

Molina Gil, Sara ;

Pandit, Abhay ;

McCarthy, Ray ;

Gilvarry, Michael ;

Dunker, Dennis ;

Nordanstig, Annika ;

Ceder, Erik ;

Redfors, Petra ;

Jood, Katarina ;

Dehlfors, Niclas ;

Magoufis, Georgios ;

Tsivgoulis, Georgios ;

Brinjikji, Waleed ;

Kallmes, David F. ;

O'Hare, Alan ;

Power, Sarah ;

Brennan, Paul ;

Alderson, Jack ;

Nagy, Andras ;

Vadasz, Agnes ;

Psychogios, Klearchos ;

Szikora, Istvan ;

Tatlisumak, Turgut ;

Rentzos, Alexandros ;

Thornton, John ;

Doyle, Karen M. .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2021, 13 (12) :1111-+

[8] Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke [J].

Goyal, M. ;

Demchuk, A. M. ;

Menon, B. K. ;

Eesa, M. ;

Rempel, J. L. ;

Thornton, J. ;

Roy, D. ;

Jovin, T. G. ;

Willinsky, R. A. ;

Sapkota, B. L. ;

Dowlatshahi, D. ;

Frei, D. F. ;

Kamal, N. R. ;

Montanera, W. J. ;

Poppe, A. Y. ;

Ryckborst, K. J. ;

Silver, F. L. ;

Shuaib, A. ;

Tampieri, D. ;

Williams, D. ;

Bang, O. Y. ;

Baxter, B. W. ;

Burns, P. A. ;

Choe, H. ;

Heo, J. -H. ;

Holmstedt, C. A. ;

Jankowitz, B. ;

Kelly, M. ;

Linares, G. ;

Mandzia, J. L. ;

Shankar, J. ;

Sohn, S. -I. ;

Swartz, R. H. ;

Barber, P. A. ;

Coutts, S. B. ;

Smith, E. E. ;

Morrish, W. F. ;

Weill, A. ;

Subramaniam, S. ;

Mitha, A. P. ;

Wong, J. H. ;

Lowerison, M. W. ;

Sajobi, T. T. ;

Hill, M. D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1019-1030

[9] Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials [J].

Goyal, Mayank ;

Menon, Bijoy K. ;

van Zwam, Wim H. ;

Dippel, Diederik W. J. ;

Mitchell, Peter J. ;

Demchuk, Andrew M. ;

Davalos, Antoni ;

Majoie, Charles B. L. M. ;

van der Lugt, Aad ;

de Miquel, Maria A. ;

Donnan, Geoff Rey A. ;

Roos, Yvo B. W. E. M. ;

Bonafe, Alain ;

Jahan, Reza ;

Diener, Hans-Christoph ;

van den Berg, Lucie A. ;

Levy, Elad I. ;

Berkhemer, Olvert A. ;

Pereira, Vitor M. ;

Rempel, Jeremy ;

Millan, Monica ;

Davis, Stephen M. ;

Roy, Daniel ;

Thornton, John ;

San Roman, Luis ;

Ribo, Marc ;

Beumer, Debbie ;

Stouch, Bruce ;

Brown, Scott ;

Campbell, Bruce C. V. ;

van Oostenbrugge, Robert J. ;

Saver, Jeff Rey L. ;

Hill, Michael D. ;

Jovin, Tudor G. .

LANCET, 2016, 387 (10029) :1723-1731

[10] Thrombus Composition and Efficacy of Thrombolysis and Thrombectomy in Acute Ischemic Stroke [J].

Jolugbo, Precious ;

Ariens, Robert A. S. .

STROKE, 2021, 52 (03) :1131-1142

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